A nurse, newly employed by a home health agency, is told that the organization's decision-making process is centralized. The nurse determines that this means that the authority to make decisions is vested in:
A. Every employee
B. A few individuals, such as the board of directors
C. All nursing employees, pharmacists, and hospital physicians
D. Many individuals, with decisions filtering down to the individual employee
Answer: B. A few individuals, such as the board of directors
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The nurse is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate nurse reflects a correct understanding of tactile fremitus? "Tactile fremitus:
a. "Is caused by moisture in the alveoli." b. "Indicates that air is present in the subcutaneous tissues." c. "Is caused by sounds generated from the larynx." d. "Reflects the blood flow through the pulmonary arteries."
Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In explaining to a couple regarding an elevated alpha-fetoprotein screening test result, the nurse would discuss the need for:
A) special care needed for a Down syndrome infant B) a more specific determination of the acid-base status C) further, more definitive evaluations to conclude anything D) immediate termination of the pregnancy based on results
A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal guidelines delineate that pediatric clients must give consent for participation in research trials
Based on the client's age, the nurse would seek assent from which child? Select all that apply. 1. A precocious 4-year-old starting as a cystic fibrosis research study participant 2. A 7-year-old leukemia client electing to receive a newly developed trial medication 3. A 10-year-old starting in an investigative study for clients with precocious puberty 4. A 13-year-old client beginning participation in a research program for ADHD treatments Correct
The client has been diagnosed with AIDS and is managing this condition with medications. The client currently suffers from pneumocystis carinii pneumonia. Which of the following nursing diagnoses may be applied to this client? (Select all that apply
) 1. Impaired gas exchange 2. Altered urinary elimination 3. Nutrition: altered, more than body requirements 4. Diarrhea 5. Fluid volume excess